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Review

Risks and rewards in adolescent decision-making


Anna C. K. van Duijvenvoorde1,2, Jorien van Hoorn1,2,3 and
Neeltje E. Blankenstein1,2

Abstract than children and adults [1]. Adolescents also rate


Adolescent decision-making has been characterized as risky, themselves higher than children and adults on reward-
and a heightened reward sensitivity may be one of the aspects drive [2], sensation-seeking [3], and show a height-
contributing to riskier choice-behavior. Previous studies have ened neural response to rewards [2,4,5]. This height-
targeted reward-sensitivity in adolescence and the neurobio- ened reward-sensitivity may serve as a differential
logical mechanisms of reward processing in the adolescent susceptibility marker that makes some adolescents more
brain. In recent examples, researchers aim to disentangle the sensitive to the environment than others [6]. For
contributions of risk- and reward-sensitivity to adolescent risk- instance, research found that adolescents with high
taking. Here, we discuss recent findings of adolescent’s risk compared to low neural activation to rewards conformed
preferences and the associated neural mechanisms. We more to observed peer norms in both positive and
highlight potential frameworks that target individual differences negative directions [7]. This emphasis on potential re-
in risk preferences in an effort to understand adolescent risk- wards (e.g., money, power, acceptance) may also lead to
taking, and with an ultimate goal of leveraging undesirable risky decision-making by steering adolescents towards
levels of risk taking. the high-reward, high risk options. The strong focus on
studying adolescent reward-sensitivity, however, may
Addresses have limited a developmental perspective on how ado-
1
Leiden University, Dept of Developmental and Educational Psychol-
lescents process risk. Although correlated (and some-
ogy, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands
2
Leiden Institute for Brain and Cognition, Leiden, the Netherlands times even conflated) with reward, risk preference is not
3
Levvel, Academic Center for Child- and Adolescent Psychiatry, the same as reward-sensitivity. In this concise review, we
Amsterdam, the Netherlands explore to what extent adolescent decision-making is
related to changes in risk preferences and what neural
Corresponding author: van Duijvenvoorde, Anna C.K (a.c.k.van.duij-
venvoorde@fsw.leidenuniv.nl)
mechanisms underlie adolescent risk-processing.

Measuring risk preference in adolescent risky


Current Opinion in Psychology 2022, 48:101457 decision-making
This review comes from a themed issue on Adolescent Development Risk has been defined in various ways, ranging from psy-
(2022) chological definitions such as a potential danger or loss to
Edited by Lydia Krabbendam and Barbara Braams more economic definitions such as a higher variance in
For complete overview about the section, refer Adolescent Develop-
outcomes [8]. The extent to which a person responds to
ment (2022) risk and/or chooses the riskier option in their environment
Available online 8 August 2022
is called an individual’s risk preference, also referred to as
“risk attitude,” “risk tolerance” or “sensitivity to risk” [9].
https://doi.org/10.1016/j.copsyc.2022.101457
Individual’s risk preferences have been related to real-
2352-250X/© 2022 The Author(s). Published by Elsevier Ltd. This is an
world consequences, such as misbehavior in school and
open access article under the CC BY license (http://creativecommons.
org/licenses/by/4.0/).
a lower likelihood to graduate [10], drug use, not wearing
a seat-belt, or financial insecurity [11e13].
Keywords
The measurement of risk preference knows two tradi-
Rewards, Risk taking, Adolescents, Individual differences, Social in-
fluence, Insula, Risk-return. tions. First, risk preferences have been revealed by using
monetary lotteries in experimental studies examining
how people make decisions under risk. Typically, people
Introduction are asked to choose between options with explicitly
Adolescence is a transitional life phase, marking the stated risks and rewards (e.g., (A) do you prefer 45 Euro
change from childhood to adulthood. It is a period in life for sure, or (B) 100 dollar with a probability of .5?). A risk
known for changes in motivated, goal-directed behavior, neutral person would follow the objectively calculated
and is associated with a heightened sensitivity to rewards expected value when choosing between these options
and a greater tendency for risk taking. For instance, ad- (hence choose B). A risk-averse person may overweigh
olescents and young adults take more daily-life risks the utility of the sure option over the riskier option (and

www.sciencedirect.com Current Opinion in Psychology 2022, 48:101457


2 Adolescent Development (2022)

hence choose A). Another way in which risk preferences adolescent. Research has shown that adolescents risk
have been measured is by using stated preferences based preference increases when their choices are monitored
on self-reports. Numerous questionnaires exist for adult by a peer [24e27] (but see [28e30]), while the mere
and adolescent samples that also assess domain- presence of a peer was not sufficient to influence risky
specificity of risk taking (e.g., social, financial, recrea- choice [24]. The effect of social observation on risk
tional, health-safety). Findings indicate that even a one- preference may be particularly salient in late adoles-
shot question may result in reliable risk preferences cence [25], although the findings of a recent study
(e.g., “would you describe yourself as someone who tries suggests this particular developmental pattern is found
to avoid risks (risk-averse) or as someone who is willing only in more affective decision-contexts [24].
to take risks (risk-prone)?“) [12]. A recent study by Frey
et al. [14] showed that self-reports outperformed A different context is when adolescents are confronted
behavioral risk-taking tasks in terms of reliability, retest- with someone else’s behavior. Recent research on social
stability and validity. Moreover, in a latent-modeling influence showed that when participants saw a previous
approach a stable, “trait,” factor emerged from self- participant select the risky option, their risk preference
reports that qualified as an overarching, domain- increased. A similar pattern, with risk preference
general risk preference, as well as a series of factors decreasing, was observed for the condition in which
capturing (domain) specific aspects of risk preference. participants saw a safe choice of a previous participant
These findings indicate the importance of measurement [31e36]. Some studies suggest that risk-promoting
when studying risk preference. In addition, they indi- peers potentially have a larger influence [35], albeit
cate that individual’s risk preference comprises both less so in late adolescents [36]. Others state that safe-
general and domain-specific dimensions. promoting peers weigh more heavily [33], and particu-
larly in late adolescents [36]. Paradigm-specific differ-
Even if risk preference is a stable trait, it may still show ences may lead to some of these mixed findings. For
mean-level changes across development. Empirical evi- instance, we may be more easily swayed by others if
dence from large world-wide longitudinal studies sug- their risk preference is not too far away from our own risk
gest an increase in stated risk-seeking preferences in preference. Clearly, the extent and conditions for
adolescence and early adulthood [1,15], followed by a “state” changes in risk preferences need to be
decline across the adult lifespan [16,17]. However, further disentangled.
variations in developmental changes may occur across
different domains of risk taking (i.e., health-safety, It has been suggested others influence our risk prefer-
recreational, social, ethical, and/or financial domains) ence by adding to the subjective value of the presented
[15,16]. Behavioral tasks have shown mixed findings options [33] and altering reward-related brain activation
regarding age differences in revealed risk preferences, [27,37]. Alternatively, an interesting perspective is that
with a meta-analysis showing a decrease in risk-seeking adolescents may be more uncertain about their own
preferences from adolescence to adulthood [18]. It has preferences than adults, and hence depend more on
been suggested that age differences in risk preferences what others do [38]. This resonates with studies
might be moderated by specific task characteristics, showing that uncertainty about others’ behavior in-
including whether measures tap into learning, or creases rapidly in adolescence [39]. A longitudinal
cognitive functions [18,19].Thus, although findings are follow-up in this study [38], suggested that such a
mixed depending on the measure used, risk preferences heightened uncertainty related to a more positive
seem subject to developmental fluctuations. development of peer relations across adolescence.
Taken together, these findings suggest adolescent’s
Adolescent risk preference in context social susceptibility may be an opportunity for promot-
Risk preference may also show elements of state spec- ing positive behavior using peer influence and can be
ificity. With states we refer to relatively changeable potentially adaptive in terms of strengthening friend-
variations around a person’s mean risk preferences that ships and relations [38,39]. These hypotheses will need
may be associated with situational factors. One partic- to be addressed in future studies.
ular situation of interest to adolescence is a social
context. Adolescence is considered a key period for Risks in the adolescent brain
social development with a social reorientation towards Developmental neuroimaging work has studied the
peers, and a heightened sensitivity towards meeting functional neural correlates of rewards and risks, to gain
social needs [20e23]. Studies have included different a better understanding of the neural correlates under-
social contexts to examine the impact on adolescent lying adolescents’ risky decision-making (see Figure 1).
risky decision-making. Typically, these studies link an individual-difference
measure, such as self-reports or indices of daily-life
One particular context is social observation: in which a risk taking, to neural activation during a risky decision-
peer, friend, or other observes the behavior of the making task. A large body of work shows that reward

Current Opinion in Psychology 2022, 48:101457 www.sciencedirect.com


Risks and Rewards van Duijvenvoorde et al. 3

Figure 1

Overview of brain regions related to risk processing (blue): Posterior parietal cortex, anterior insula, medial prefrontal cortex (MPFC), ventral striatum
(VS), and amygdala (not shown in figure) have been related to risk processing. MPFC and VS additionally are related to reward processing (indicated with
dashed colors).

anticipation and receipt increased neural activity in the studies, play a key role in developmental populations as
ventral striatum and the medial prefrontal cortex (PFC), well. Several recent studies showed that risk-related
which are projection targets of midbrain dopamine insula activation interacts with PFC regions and shuns
neurons [40,41]. These findings raise the question of adolescents from health-risk behaviors [55e57]. These
whether this same circuit might process risk prefer- findings indicate that risk engages brain regions that
ence [42]. arewell-connected to brain regions associated with
reward processing and valuation.
In adults, past functional neuroimaging studies have
identified multiple brain regions associated with making Opportunities for an individual difference perspective
decisions involving risk [43,44]: The (posterior) parietal in adolescent risk processing
cortex is thought to code probability [45] and its gray Several recent perspectives call for the need to charac-
matter density has been related to individual differ- terizing individual differences in neurobiological devel-
ences in risk preference [46,47]. The ventral striatum is opment and cognition [58]. Particularly, the mixed
thought to reflect the potential of rewards for a giving findings of age-related changes in adolescent risk pref-
option and may promote an approach-tendency towards erences may indicate these preferences differ pro-
risk. The (ventral) medial PFC integrates the (subjec- foundly between individuals [58,59]. One way to further
tive) magnitude and probability of rewards for a risky understand developmental and individual differences in
option and controls the tendency to avoid or approach risk preferences is to use a model-based approach that
risks. For instance, functional connectivity of ventral formalizes the decision process. Where utility-based
medial PFC and action-related brain regions has shown models present an integrated framework of value-
to be higher in individuals with higher risk preferences based decision making, one of the few models disen-
[48]. Finally, activity in the amygdala and anterior insula tangling the influence of risk and returns on risky
would reflect the degree of risk and may promote risk- decision-making is a risk-return framework. Risk-return
avoidance [43,45,49]. A recent meta-analysis supports models describe risky decision-making as a function of
these findings and highlights the insula as a crucial three variables: (1) the perceived return of available
component of risk anticipation and processing, involved choice options (i.e., subjective expected value), (2) the
in coding known and unknown risks [44]. perceived riskiness of those options (i.e., subjective
outcome variability), and (3) the decision maker’s atti-
This key role of the insula is also confirmed in devel- tude toward perceived riskdthat is, his or her willing-
opmental studies of risk processing [50e52]. A study ness to trade perceived risk for possible return [8,60].
tracking parametric changes in risk in a risky-choice One interesting suggestion from this body of work is
paradigm showed that adolescents versus children and that differences in perceptions are more influential than
adults exhibited heightened anterior insular risk activity individual’s willingness to take risk [60e62]. For
to options of greater risk [53]. A larger developmental instance, research on the COVID-19 pandemic showed
study (N = 256) confirmed that anterior insula activa- that adults’ risk perception (i.e., how risks are
tion scaled with parametric changes in risk [54]. Thus, perceived) and risk preference (how likely one is to take
risk-related brain regions typically found in adult risks) correlate positively to mitigation behaviors

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4 Adolescent Development (2022)

Figure 2

Conceptual overview of risk processing research across four levels of information, examined across development from childhood to adulthood. From left
to right, panel 1: Both revealed (e.g., experimental tasks and computational modeling) and stated (e.g., self-reports) measurements indicate an in-
dividual’s risk preference, ranging from risk aversion, to risk neutrality, to risk seeking. Panel 2: Social context impacts risk preferences. Peers can sway an
individual’s risk preference (via influence or monitoring) towards risk seeking or risk aversion. Panel 3: Latent clustering techniques can capture individual
differences and illustrate how individuals’ group together depending on their risk preferences in several domains. Panel 4: Neuroimaging research reveals
underlying mechanisms of risk processing. Although risks and rewards coincide, they may be related to distinct neural mechanisms that only partly
overlap and both influence choice behavior. These four levels of information can each be examined across different age groups or longitudinally, to inform
changes in risky choice across development. Note that these four levels of information are in no way exhaustive, and may be combined. For example,
preferences can be examined as a function of social context, clustering approaches may be applied to neuroimaging research, etc. Created with
BioRender.com.

concerning social distancing and hygiene [63]. Risk Conclusion


perceptions were, however, correlated with a larger Although reward-sensitivity is integral to adolescent
number of mitigation practices. Since risk perceptions risky decision-making, we argue that a focus on risk
may also be more malleable than risk preferences, they broadens the perspective on adolescent behavior (see
are potentially an interesting target for adolescent policy Figure 2). Here, we discuss recent findings on the
and behavioral interventions. measurement of risk preferences, the (social) context-
specific influences on adolescents’ risk preferences,
An exciting approach to understand and quantify indi- and the associated brain regions involved in risk
vidual differences in risky decision-making is by exam- processing. A promising avenue that emerges from the
ining heterogeneity within groups. Latent clustering work in this review is the potential to engage the social
approaches aim to find clusters of individuals that are sensitivity of adolescents to steer decision-making, and
described on the basis of a risk profile, i.e. a type of the potential to embed models that target individual
persons with a similar configuration of (multidimen- differences in multidimensional risk profiles. These
sional) risk preferences. A large-scale population study renewed directions suggest that a perspective on risk
(N = 3123) used such a multidimensional cluster sensitivity, in addition to adolescent reward-sensitivity,
approach on self-reported risk data [64]. Findings provide key insights to leverage undesirable levels of
showed four risk profiles that accounted for two thirds of risk taking in young people and improve adolescents’
participant (i.e., the “cautious,” the “recreational ad- health and wellbeing.
venturers,” the “financial gamblers,” and the “dare-
devils”). These approaches were shown to be associated
Author contributions
with socio-demographic indicators, including age and
ACKvD: conceptualization, visualization, writing e
gender. These clustering techniques have the potential
original draft, writing e review & editing; JvH, NB:
to be extended to neuroimaging data (e.g. the studies by
conceptualization, visualization, writing e review
Becht et al., van Duijvenvoorde et al. [65,66] and a
& editing.
developmental longitudinal (i.e., latent change)
perspective [67]. Ultimately, such analysis technics may
foster greater specificity for certain groups of adoles- Conflict of interest statement
cents regarding behavioral interventions. Nothing declared.

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Risks and Rewards van Duijvenvoorde et al. 5

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